APAP 90MG/AL ACETATE 325MG/CTM 4MG/P-PROPANOL 25MG TAB (6675) VA PRODUCT (50.68)

Name	Value
NAME	APAP 90MG/AL ACETATE 325MG/CTM 4MG/P-PROPANOL 25MG TAB
VA GENERIC NAME	ACETAMINOPHEN/ALUMINUM ACETATE/CHLORPHENIRAMINE/PHENYLPROPANOLAM
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 90 UNITS: MG PHENYLPROPANOLAMINE HYDROCHLORIDE STRENGTH: 25 UNITS: MG CHLORPHENIRAMINE MALEATE STRENGTH: 4 UNITS: MG ALUMINUM ACETATE STRENGTH: 325 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2005-10-14 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ACETAMINOPHEN/ALUMINUM ACETATE/CHLORPHENIRAMINE/PHENYLPROPANOLAM TAB
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4007191
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2005-10-14 00:00:00 STATUS: INACTIVE